44916D - Legare

rCAMA/ DREDGE & FILL yp
/
3ENERAL PERMIT Previous permit#
&New Modification (Complete Reissue r Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ? ti• 2' °3
' Rules attached.
t Name (2,dGQ' 1�l�Cs ((z C Project Location: County ►:)b a
RC) - Z.93 Street Address/State Road/Lot#(s)
J,
,,n 2F C-Z l`'� StateiJ - ZIPS- -1 15 - Z- 'a-o t.Ps ►' \v G
‘D)3Z8'► 3 S Fax#( ) Subdivision
ed Agent Ci LA 2F t ZIP S I'I t...
cw jfw )(tut ❑ES ❑PTS Phone# ( ) River Basin ( -\?I.
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 7O25 xr L- 5 o-^'0 na b
❑ PWS: ❑FC:
yes /C) PNA yes /CD Crit.Hab. yes / no Closest Maj.Wtr. Body
'Project/Activity ! 04-ila I-L I�.) vu c4.L . 1 ,,,i IL x 1.%i 9 (— ,L.S. P ( a
,—Jts- ,D.7LIL ��� - .
(Scale:
:It)length
i(s)
ier(s) ?7 �
� y
ngth I I 4 0
Tiber
j/Riprap length `\\`� *
distance offshore 6
x distance offshore ^ \
nnel �+ _
ca
)ic yards
ip
/Boatlif l Z )2
JIldozing '
'
1
a Length ) le) 3
not sure yes no
;: not sure yes Cap
cum: n/a yes .o I
yes ��o
1ttached: yes J P
ig permit may be required by: l/t a_c (..1...1 i
_ See note on back regarding River Basin ri

ritir
ROBERT W.LEGARE 6627
CLAIRE B.LEGARE 66-162/531
702 Roland Ave BRANCH 50003
P O Box 2543
Surf City,NC 28445 Date
Pay to the
Order of N (4 - `•.1 ..
Dollars i �'�:"'•°"
WACH VIA
Wachovia Bank.N.A.
'/wachovia.com
For -7p 4/Al /6
I:053 LO L6 261: L00000600E 403ii' 66 2 ?

03/30/2006 12,:58 9103273016 MOZINGO CONSTRUCTION PAGE 04
OTHER PERMITS MAY BE REQUIRED;The activity you are planning may require permits other than the CAM
development permit.Asa service we have compiled a list of the kinds of permits that might be required.We suggest you check
with your ITO to determine if any oft-it-se apply to your project-. Zoning,Drinking Water Well., Septic Tank for other sanitary
treatment system),Burning,E1-ctriaal,Plumbing,Heating and Air Conditioning,Insulation and Eucrp.Conservation, I-1A C t
Sand Dune.Sediment Control., Subdivision Approval, Mobile Home Park Approval,H.iahway,Connection,and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit.being tither the owra;r of ptoperry in an.;
person authorized to act as an agent for purposes of applying for a C.SMA.minor development permit. certify that t
listed as landowner on this application has a significant interest in the read property described therein,Tlti, interest
described as; (check one)
24
, an owner or record title,r is led in e`` peed Book
O page in the /l��. County Registry of Deeds. b i/ /7.410p 3 �p✓q/oth
all owner by virtue of inheritance. Applicant is art heir ro the estate of
probate was in_ County,
•
___ifother interest,such as written contract or lease,explain blow or use a separate sheer and attach ro this app.lii
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
( furthermore certify that the following persons ate owners of properties adjoining this property. 1 affirm that I have
ACTUAL NOTICE to cads of rhent concerning my intent to develop this property and to apply for a CAMA perm
(Name) (Address)
(J.) Da/VI E - E Sean L• Nora.) 00 45 ( 7 a7 it,to Nvc a83:
(2) OD! scr4 with tngh g �''v11/e
(.3) /4- i/ .0 1447`,, Ave- 2-
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 0ck110Witd.gt that the land owner is aware that the proposed development is planned for an area which may be sttsi
erosion and/or flooding. I aci.nowledge that the local permit officer cer has explained to me the particular hazard prohi(
atecl with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofiii
toques.
•
PERMISSION TO ENTER ON LAND:

03/30/2006 12:56 9103273016 MOZINGO CONSTRUCTION PAGE 05,
.w111111111tlti
1'Ee .
, } M !!air::
PH'
GENERAL INFORMATION
LAND OWNER
PH' Address _702 .0<2 s- t i el OVA vP L .er Scf3
City s` State ire- „` Z3 l-"Wg Phone?
P— one 9/4' 74
AUTHORIZED AGENT
Maine 01- 4$ 440 Ve
Address �'—
City
- State Zip Phone
LOCATION OF PROJECT: (Address,street nantc and/or directions to site, If not oceanfront, what is the tea.
if y" rhc adjaccnr waterbody?)
)Ex DESCRIPTION�J OF PROJECT: (List all proposed construction and land disturban e.)
Tbdt-
SIZE OF LOT/PARCEL J 3-44I square fret a 135".
acres
PROPOSED USE: ResidenrialjL (Single-1annily ✓Multi-family ) Cornn1ericalfl,adustrial
Other 01 TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN
ati<<: RUIVMENTAL CONCERN (AEC): HAZARD AREA OF E�
•
square Feet (includes all floors and rc oE=cuvercd de
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC):
• s
(Calculatians include the area of the roof/drip line of all buildings,driveways.covered decks, concrete or masonry
•
crc. that arc within the applicable AEC.Attach your calculations with the project drawing.)
e the AEC area that applies to your proper
'ithin 75 Feet of Normal High Water for the Estuarine Shoreline AEC
2) within 575 feet.of Normal Hi.eh Water f r tI,N Fes..,,.;._ t:t__._e:__ A ,

03/30/2006 12:5B 9103273016 MOZINGO CONSTRUCTION PAGE 06
k
VT
ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ls- 's
11 (Name f Property owner)
.671) AZ-18+729,14
property located at !.114—1 -.— 18)10r4
(Lot,Block,Road, etc,) ` >
Oil 'n 504 CHI/
N.C.
They have described to me shown below, the development theyare r
location, and , I have no objections to this proposal. P oposing at that
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
QateofAdja;ntOwnc;I Print or Type Name

03/30/2006 12:5B 9103273016 MOZINGO C�ISTRUCTION PAGE 07
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: a i" iA
Address of Property: 0 Z � `
(Lot or Street#, Street or Road)
cc -ems 60u 7V
(City and Coun )
I hereby certify that I own property adjacent to the above-referenced property_ The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter_
<bCA ' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 91.0-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings, breakwater,boat house or boat lift Must be set
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
-1/1/41 I do not wish to waive the 15' setback requirement.
50 Zoa
Sign Name Date
MY&& 15 • ;?;j
Print Name AA

03/30/2006 12:5B 9103273016 MOZINGO CONSTRUCTION PAGE 011
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hs44' 79.3J'
EPK N 31'00'0Er W 104.39' EIS ..
1 LEGEND: LNE TAaz
Os = EXISTING IRON STAKE UIW BEARING LEN' fT 1
EPK — CASTING PK NAIL L1 531'4,3'45'E 23 .7
a l ET = FASTING TACK 1.2 520'00'07"C 13 1
CP .. COMPUTED PAINT L3 S23'1g'45'E 16 5
R/w . RIGHT of WAY L* 500�4'O9'w 13 -5
+5.25 = SPOT ELEVATION 1-5 H78�741"W 7, t BRl0 �
INTRACO*TAL
.( WATERWAY
cP CA N.C. HWY. 210 & 50— 100' R/W I
C/L RitN T 93.42' +�
REF: M.8. 53, P. 6 , SL, 44g PHYSICAL SURVEY L
LOT NO. 1 BLOCK
THIS IS TO CERTIFY 1HAT THIS MAP IS A TRUE
REPRESENTATION OF THE PROPERTY HEREON AS Slf6p1USi0N HARBOR MNTE (REV.)
COaPILED BY ACTUAL SURLY Of THE PREMISES
ANO THAT TM CROACHMENTS ACCORD— TOPSAIL P y_ER MINury �„
WTI TA nar o�L .--- ..- . TKh�RISFt EN

SENDER: COMPLETE THIS SECTION
COMPLETE• Complete items 1,2,and 3.Also complete A. Signature
THIS SECTION ON DELIVERY
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse X
so that we can return the card to you. ❑Agent
■ Attach this card to the back of the mailpiece, B '1 �.. 0 Addressee
or on the front if space permits. --�ed by(Printed �_
JC I C. Date of Delivery
1. Article Addressed to: • �', I
D. Is delivery •d,.. ; ere ,
Mr. ah� /� If YES,e, : 1? ❑Yes
►5- Okr1^y MrrS M =liveryaddaQ .-•w: ❑No
M
PD g0x �Z� 0
Nd �' "
/ 7 4 3. S> ' e Type
/- o 33 ' lig Certified Mail 0 Express Mail
❑Registered ❑Return Receipt for Merchandise
❑Insured Mall 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7003 3110 0005
PS Form 3811,February3530 4997
2004 Domestic Return Receipt
102595-02-M-1540
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete i.nature
item 4 if Restricted Delivery is desired. 4
In Print your name and address on the reverse I1 �so that we can return the card to you.
i ❑Agent
• Attach this card to the back of the mailpiece, ❑Addressee
or on the front if space permits. a eived Mr N
C. Date bf Delivery1. Article Addressed to: IL { - d
D. I delivery address different from item 1? AYes
Z10,- � ss If YES,enter delivery address below: 0 .o
No Y i (G7-I IAA_re)d/
1
/1;f:414/, �//t /� 3. Service Type
/ // J 0 Certified Mail ❑Express Mail
Vkc�S►7r+�r�/r �C 0 Registered
yyr) 0 Return Receipt for Merchandise
/ 0 ` _. Mail 0 C.O.D.
2. Article Number 4. Restricted Delivery?(Ere Fee)
0 Yes
(Transfer from service label) 7005 1820 0005 9874 117 7
PS Form 3811 February 2004
Domestic Return Receipt
102595-02-M-1540